Individual
BRENNAN MICHELLE RIDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016015962
MO
152W00000X
Optometrist
2021
KS
Other
Enumeration date
05/23/2016
Last updated
01/18/2017
Update your record
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